Healthcare Provider Details

I. General information

NPI: 1023620044
Provider Name (Legal Business Name): HALEY KAY HEPLER MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 S WADSWORTH BLVD UNIT C PMB 5005
LAKEWOOD CO
80226
US

IV. Provider business mailing address

1090 S WADSWORTH BLVD UNIT C PMB 5005
LAKEWOOD CO
80226
US

V. Phone/Fax

Practice location:
  • Phone: 330-280-4191
  • Fax:
Mailing address:
  • Phone: 330-280-4191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2001266-TRNE
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09930204
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: